Inspection Reports for Magnolia Manor Methodist Nsg C

A revisit survey was conducted to verify correction of deficiencies cited in the March 14, 2025, Standard Survey and to investigate Complaint Intake Number GA00254749.

All deficiencies cited in the March 14, 2025, Standard Survey were found to be corrected. The complaint GA00254749 was found to be unsubstantiated.

Complaint Intake Number GA00254749 was investigated and found to be unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited in the March 14, 2025, Standard Survey and to investigate Complaint Intake Number GA00254749.

All deficiencies cited in the March 14, 2025, Standard Survey were found to be corrected. The complaint GA00254749 was found to be unsubstantiated.

Complaint Intake Number GA00254749 was investigated and found to be unsubstantiated.

An annual licensure survey was conducted at Magnolia Manor Methodist from March 11, 2025 to March 14, 2025.

There were no deficiencies cited during the annual licensure survey.

A standard survey was conducted from March 11 through March 14, 2025, including investigation of Complaint Intake Number GA00254138, which was found unsubstantiated.

The facility was found noncompliant with Medicare/Medicaid regulations, with deficiencies including failure to refer a resident for PASARR Level II evaluation, failure to provide timely medical evaluation after a resident's fall with head injury, failure to complete smoking safety assessments, and failure to maintain food safety and sanitary conditions in the dietary department.

Complaint Intake Number GA00254138 was investigated in conjunction with the standard survey and was found to be unsubstantiated.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and the NFPA 101 Life Safety Code 2012 edition.

The Emergency Preparedness Program and Life Safety Code Survey for Magnolia Manor Methodist were found to be in compliance with all applicable federal regulations and NFPA standards.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint intake number GA00253668.

The complaint was substantiated, but no deficiencies were cited during the survey.

Complaint intake number GA00253668 was substantiated.

An abbreviated/partial extended survey was conducted to investigate complaint number GA00242653, initiated on February 29, 2024, and concluded on March 6, 2024, with a reopening and conclusion on April 10, 2024.

No deficiencies were cited related to complaint GA00242653 during the investigation.

Complaint number GA00242653 was investigated and found to have no deficiencies cited.

The document is a statement of deficiencies and plan of correction for Magnolia Manor Methodist Nursing Center following a state inspection.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A health revisit survey was conducted to verify correction of deficiencies cited in the December 7, 2023 Recertification Survey.

All deficiencies cited in the December 7, 2023 Recertification Survey were found to be corrected during this revisit survey.

A Life Safety Code Follow-up Survey was conducted to verify correction of previously cited deficiencies.

All previously cited tags have been corrected as noted during the follow-up survey.

A State Licensure survey was conducted at Magnolia Manor Methodist Nursing Center from December 5, 2023 through December 7, 2023 to determine compliance with the State Long Term Care Requirements.

The facility was found deficient in multiple areas including failure to comply with CMS regulations regarding physician visit frequency for one resident, inadequate infection control practices for respiratory equipment for two residents, and incomplete access to medical records for one resident, potentially hindering safe and effective care.

A standard survey was conducted from December 5 through December 7, 2023, including investigation of three complaint intake numbers, two of which were substantiated with no citations.

The facility was found not in substantial compliance with Medicare/Medicaid regulations, with deficiencies including failure to maintain resident dignity by leaving urinary catheter bags uncovered, failure to ensure timely physician visits, unsecured medication storage, incomplete resident medical records access, and inadequate infection control practices related to respiratory equipment.

Complaint Intake Numbers GA00233315, GA00236647, and GA00240029 were investigated; GA00233315 was unsubstantiated, GA00236647 and GA00240029 were substantiated with no citations cited.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.

The facility was found not in substantial compliance due to missing escutcheon plates on sprinkler heads in room 530 and the use of an extension cord as permanent wiring in the conference room.

The facility was reviewed for compliance with COVID-19 reporting requirements to the CDC's National Healthcare Safety Network during a seven-day period.

The facility failed to report complete COVID-19 information to the CDC's NHSN between 07/17/2023 and 07/23/2023 as required by regulation, which has the potential to cause more than minimal harm to residents.

A COVID-19 Focused Infection Control survey was conducted in conjunction with an Abbreviated Survey investigating complaint number GA00230134 from December 6, 2022 through December 8, 2022.

The facility was found to be in compliance with 42 CFR 483.80 infection control regulations and CMS/CDC recommended COVID-19 practices. The complaint was unsubstantiated and no regulatory violations were cited.

Complaint number GA00230134 was investigated and found to be unsubstantiated.

A Follow-Up Survey was conducted to verify that all previously cited survey tags from the 8/2/2022 survey had been corrected.

The survey noted that all previously cited deficiencies from the prior survey had been corrected.

The inspection was conducted from August 2, 2022 through August 4, 2022 to determine compliance with State Long Term Care Requirements.

No State Health Deficiencies were cited during the health survey.

A standard survey was conducted at Magnolia Manor Methodist Nursing Center from August 2, 2022 through August 4, 2022. In addition, two complaint intake numbers were investigated with no deficiencies cited.

The standard survey revealed that the facility was in compliance with Medicare/Medicaid regulations at 42 C.F.R. Part 483, Subpart B - Requirements for Long Term Care Facilities. No deficiencies were cited during the complaint investigations.

Complaint Intake Number GA00224869 and GA00221367 were investigated with no deficiencies cited.

A Life Safety Code Survey was conducted to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.

The facility was found not in substantial compliance with life safety requirements, including missing or non-functional self-closing devices on doors, sprinkler system maintenance issues, missing escutcheon rings, unlabeled electrical panels, and failure of smoke doors and firewalls to close or seal properly.

The document is a statement of deficiencies and plan of correction for Magnolia Manor Methodist Nursing Center, indicating a regulatory inspection was conducted.

The report contains initial comments but does not provide specific details on deficiencies or findings.

A revisit survey was conducted to verify correction of deficiencies cited during the 9/20/2021 complaint survey.

All deficiencies cited as a result of the 9/20/2021 complaint survey were found to be corrected.

The visit was a follow-up to a complaint survey conducted on 9/20/2021; all cited deficiencies were corrected.

A Licensure Survey was conducted to investigate complaint intake numbers GA00214013 and GA00217625. The visit was initiated on 2021-09-16 and concluded on 2021-09-20.

The complaint GA00214013 was substantiated without deficiencies. Complaint intake GA00217625 was substantiated with a deficiency related to the facility's failure to maintain a comfortable interior temperature in rooms and a common area on the secure 400 unit, with temperatures observed between 64 and 70 degrees Fahrenheit and residents expressing feeling cold.

The investigation was initiated due to two complaint intake numbers GA00214013 and GA00217625. Complaint GA00214013 was substantiated without deficiencies. Complaint GA00217625 was substantiated with a deficiency related to inadequate heating.

An abbreviated/partial extended survey was conducted to investigate a complaint (GA00211624).

The complaint investigation was concluded on the same day and was found to be unsubstantiated.

Complaint GA00211624 was investigated and found to be unsubstantiated.

A COVID-19 Focused Infection Control Survey was conducted to assess the facility's compliance with infection control regulations and preparedness for COVID-19.

The facility was found not in compliance with infection control regulations, specifically failing to have a qualified Infection Preventionist on staff and failing to properly document pneumococcal immunizations for residents as required by CDC guidelines.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint #GA00209529.

The complaint was unsubstantiated and no deficiencies were cited during the survey.

Complaint #GA00209529 was investigated and found to be unsubstantiated.

An abbreviated/partial extended survey was conducted to investigate complaints #GA00202596, GA00203445, GA00204101, and GA00204424.

The complaints investigated were unsubstantiated and no regulatory violations were cited during the survey.

Complaints #GA00202596, GA00203445, GA00204101, and GA00204424 were investigated and found to be unsubstantiated with no regulatory violations cited.

A COVID-19 Focused Emergency Preparedness and Infection Control Survey was conducted to assess the facility's compliance with CMS and CDC recommended practices related to COVID-19 preparedness and infection control.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness and 42 CFR §483.80 related to infection control regulations, implementing recommended practices to prepare for COVID-19.

A second Revisit survey was conducted on September 23, 2019, for the complaint survey originally conducted from June 3, 2019 through June 7, 2019.

All deficiencies previously cited during the complaint survey were found to be corrected.

This was a revisit survey following a complaint survey conducted from 6/3/19 through 6/7/19. All prior deficiencies were corrected.

A Revisit survey was conducted from 7/29/19 through 8/12/19 to investigate Complaint Intake Numbers GA00198320 and GA00198265. The visit was to assess continued compliance with Medicare/Medicaid regulations following substantiated complaints.

Complaint GA00198265 was substantiated, revealing continued noncompliance with Medicare/Medicaid regulations under 42 CFR Part 483, Subpart B for Long Term Care Facilities. Deficiencies were cited during the Revisit survey.

Complaint GA00198265 was substantiated; Complaint GA00198320 was investigated in conjunction with the Revisit survey.

A revisit survey was conducted from 7/29/19 through 8/12/19, including investigation of two complaint intake numbers (GA00198320 and GA00198265), to determine compliance with Medicare/Medicaid regulations for long term care facilities.

The facility failed to follow comprehensive care plans and physician orders for wound care for three residents (R#1, R#2, and R#6). Specific issues included failure to change dressings as ordered, use of another resident's medication, and failure to update treatment administration records to reflect new physician orders. These failures resulted in noncompliance with care plan and quality of care requirements.

Complaint Intake Numbers GA00198320 and GA00198265 were investigated in conjunction with this revisit survey.

The inspection was conducted to evaluate compliance with nursing care plans and wound care treatment for residents, specifically reviewing adherence to physician orders and care plans related to wound care.

The facility failed to follow the care plan for three residents regarding wound care. Deficiencies included failure to change dressings as ordered, use of another resident's medication, and failure to update treatment administration records to reflect physician orders.

A Revisit Survey was conducted on 3/18/19 to verify correction of deficiencies cited during the standard survey on 1/25/19.

All deficiencies cited as a result of the standard survey of 1/25/19 were found to be corrected during the revisit survey.

A follow-up survey was conducted to verify correction of previously cited survey deficiencies.

The follow-up survey noted that all previously cited survey tags have been corrected.

The Life Safety Code Survey was conducted to assess the facility's compliance with fire safety regulations under 42 CFR Subpart 483.70(a) and NFPA 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with fire safety requirements, including improper installation of fire alarm notification devices in Unit 6 and unprotected corridor openings in Unit 3 doors, potentially placing residents at risk in the event of a fire.

An abbreviated/Partial Extended Survey was conducted to investigate complaint GA00193523.

The complaint was unsubstantiated and no deficiencies were identified during the survey.

Complaint GA00193523 was investigated and found to be unsubstantiated with no deficiencies.

An abbreviated/partial extended survey was conducted to investigate complaints GA00191469, GA00191599, and GA00191643.

The complaints investigated during the survey were unsubstantiated and no deficiencies were found.

The complaints GA00191469, GA00191599, and GA00191643 were investigated and found to be unsubstantiated with no deficiencies.

The inspection was conducted to investigate complaint #GA00190368 and determine compliance with Federal and State Long Term Care regulations.

No deficiencies were cited during the complaint survey conducted on 8/7/18 through 8/8/18.

Complaint #GA00190368 was investigated and found to have no deficiencies.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00189143.

The facility was found to be in compliance with Federal and State Long Term Care regulations. The complaint was unsubstantiated and no deficiencies were cited.

Complaint GA00189143 was investigated and found to be unsubstantiated.

An abbreviated/partial extended survey was conducted to investigate complaint #GA00187300.

The complaint investigation was unsubstantiated with no deficiencies noted in the report.

Complaint #GA00187300 was investigated and found to be unsubstantiated.

A revisit survey was conducted to verify correction of deficiencies cited in the February 1, 2018 standard survey.

All deficiencies cited in the prior February 1, 2018 standard survey were found to be corrected during this revisit survey.

A follow-up survey was conducted to verify correction of previously cited deficiencies.

All previously cited survey tags have been corrected as of the follow-up survey date.

The visit was a Life Safety Code Survey conducted to assess compliance with Medicare/Medicaid participation requirements related to fire safety and the NFPA 101 Life Safety Code 2012 edition.

The facility was found not in substantial compliance with smoking regulations as required by NFPA 101 2012 edition. Specifically, the employee smoking area lacked a metal container with a self-closing lid for cigarette butts, and the facility smoking policy did not designate an employee smoking area with required provisions.

An Abbreviated/Partial Extended Survey was conducted to investigate complaint GA00182052.

The complaint investigated during the survey was found to be unsubstantiated.

Complaint GA00182052 was investigated and found to be unsubstantiated.

An Abbreviated/Partial Extended Survey was conducted to investigate GA00179299 on 9/15/2017.

The survey revealed that the facility was in substantial compliance with Medicare/Medicaid regulations at 42 CFR Part 483, Subpart B. No deficiencies were cited.

A follow-up inspection was conducted to verify correction of deficiencies identified during the standard survey on 2017-01-26.

The deficiencies identified in the standard survey of 1/26/17 were corrected as of the follow-up visit on 3/22/17.

A follow-up survey was conducted to verify that all previously cited survey tags had been corrected.

The follow-up survey noted that all previously cited survey deficiencies had been corrected.

The inspection was conducted as a Complaint Survey to investigate complaint #GA00172178 and determine compliance with Federal and State Long Term regulations for Long Term Care Facilities.

No deficiencies were cited during the complaint survey.

Complaint #GA00172178 was investigated and found to have no deficiencies.

A standard survey was conducted in conjunction with complaint # GA00169563 to determine compliance with Federal and State Long Term Care regulations.

The facility failed to revise a resident's plan of care to include a stage two pressure ulcer to the left elbow for one resident (#194) from a sample of 22 residents. The plan of care was not updated until after surveyor inquiry.

Complaint # GA00169563 triggered the survey. The deficiency related to failure to revise the plan of care was substantiated based on staff interview and record review.

The facility underwent a Life Safety Code survey to assess compliance with Medicare/Medicaid participation requirements and NFPA 101 Life Safety Code standards.

The facility was found not in substantial compliance with life safety requirements, including issues with egress door locking arrangements on the memory care unit, overdue UL 300 fire suppression system inspection, lack of sprinkler coverage in resident room closets, corridor doors with improper locking mechanisms, and smoke barriers lacking required fire resistance rating.